Ventriculo gallblader shunt is very rarely used in the treatment of hydrocephalus. A 44 year old male with ventriculoatrial shunt dysfunction was evaluated. His ventriculoatrial shunt was not working. His medical history revealed that his hydrocephalus was treated five times by venrtriculoperitoneal shunt, four times by ventriculoatrial shunt. Another trial for ventriculoperitoneal or ventriculoatrial shunting was not considered feasible. Ventriculo-gallbladder shunt as potential salvage procedure was placed to the patient. Remarkably, the patient benefitted from the ventriculo-gallbladder shunt and was discharged from the hospital. We think that ventriculo-gallbladder shunting is a safe and effective treatment for hydrocephalus as last resort in complicated cases of shunt dysfunction.